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Home My Public Portal About9841 HOWLAND DR_Electrical__ 7`A663-CE806 1/70 APPLICATION FOR ELECTRICAL" ERMIT COUNTY OF LOS ANGELES DEBPULENT OF COUNTY ENG DING AND SAFETY DIV SIIONER BUILDING ),941 H Oc.3LAPJJJ � R • ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST 1ALL4IA1 NOE: 0Lf ✓E FOR APPLICANT TO FILL IN CROSS ST. Y OUTLETS NO. EACH FEE ` OWNER EVC-L E'i•Y NEZJ TON AIL IGHT LS OVER 20 .Ip S D ( LAND •D R LIGHT_ TOTAL FIRST 20 20 ADRESS SWITCH CITY rM CGf 'Z TEL. NO. S(_-7CO PLAN CHECK LIGHTING FIRST 20 20 FI%TURES .10 APPLICANT TOTAL OVER 20 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER _WTR. HTR._ APPLICANT EV<�-JZETY /LTA-41•TDN TE STA. COOK DISP. F.A.U._ ADDRESS tjSgj ;40" c_A�j) X21 SPACE HTR. AIR COND. CITY TC Mi PLC G( TEL. NO."C_7coS' CLOTHES WASH. OI SHWASH._ LICENSE NO. CLASS. FANOTHER 1,00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. S12E & TYPE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REOU IRED By LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO I - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE 0 10 - 50 500 OF PERMITTEE V 50 - 100 10.00 DISTRICTND. CLASS GROUP ZONE I PROCESSED ST 100 - 500 15,00 Q;) C SIGN, GAS SIGN AND ONE CIRCUIT 3,00 NOTES: W d TUBE, OR N MARQUEE ADDITIONAL CIRCUITS 1.00 Z SERVICENOTOVER 600 VOLTS OR 200 AMP ` 2,00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200AMP 500 TEMP.POWER POLE TEMPSERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONOIUT WIRING PERMIT FEE (SUB TO FIXTURES UN'LLU PLAN CHECK FEE (50% PERMIT FEE) POWER AUT H UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 7 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CQ k.EA� IIs _Afc..7 .1 4 7R OCT 13 2 D 4.0 O" SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE •61563-CE60610/72 APPLICATICi I ELECTRICAL PERMIT COUNTY OF LOS ANGELES • DEPARTMENT OF COUNTY ENGINEER aooREss BUILDING AND SAFETY DIVISION U=L HU LOCALITY NEAREST / FOR APPLICANT TO FILL IN CROSS ST. GW V rJ OUTLETS No. EACH FEE OWNER OR A' S $ FIRM NAME REMAIL CEPT. I9 ADDRESS LIGHT TOTAL FIRST 20 25 O CITY "I"L NC L� TEL, NO. Z L._7' C� SWITCH II OVER 20 .10 O PLAN CHECK FIRST 20 P6 1J APPLICANT LIGHTING TOTAL FI% 9 .10 OVER 20 ADDRESS TURES . RESIDENTIAL APPLIANCES CITY TEL. NO, PERMIT RANGEDRYERWTR. HTR._ APPLICANT STA. COOKDISP. F.A.U.-/— ADDRESS SPACE HTR.-_I—AIR COND. CITY TEL. N0. CLOTHES WASH. DISH WASH._ LICENSE OR CLASS.^ REG. NUMSER FAN_OTHER 1.00 ,...[ /\ HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V_ V AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SI2E & TYPE OVER TO HEgEBT CERTIFY THAT I AM PROPERLY REGISTERED AND/0R D - 1 L00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER GF THE ABOVE d 1 - 1D 3.00 DESCRIBED RESIDENTIAL PROPERTY. � U 10 - 50 500 PERMITEE SIGNATUR p 50 - 100 1000 DISTRICT NO. PRO SSEO B U W C- 100 - 500 15.00 D Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 60O VOLTS OR 2O0AMP 3.00 UNDERSLAB WORK SERVI CEOVER 6O0 VOLTS OR 2O0 AMP 1000 ROUGH CONDUIT ,fin q TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: � � �rJ�!' �i� ✓�J17 ��.� t .�h_"' PLAN CHECK FEE c� y1J 4+'Vf ?3J Ii-Gf1 -1 PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.6. CASH PERMIT VALIDATION cK^ M.O. CASH 1 ® JAN 3 2 0 1 4_.1. 5 moo SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 4� I WORKERS'COMPENSATfONDECLARATION 1 76A663 6CE-806G (2 80) APPLICATION FOR ELECTRICAL PERMIT {� `J I hereby affirm that 1 have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800. Lab.C.) FOR APPLICANT TO FILL IN JOB / Policy No. Company EACH NO. FEE ADDRESS New Residential Bldgs.&Pools ❑ CeW ied copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY •❑ Certified co Multi-family Sq. Ft. — NEAREST copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets: Rec/_ZughtJ2G Sw. 5--(1 MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No: Additional CITY Tel No.aP-ii760 COMPENSATION INSURANCE } PLAN CHECK 1 APPLICANT O (This section need not be completed if the work involved Lighting Fixtures First 20 9 — U by the permit is for one hundred dollars ($I00) or less.) Z_ Additional ADDRESS " Total No. O I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. r permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws. Range_ Heated D.W. APPLICANT 1 Oven _ Dryer W.M._ ADDRESS < N Z Date?3/kD Applicant wve IT��yL�.,.yj� Tap — FAU W.H. — Hood — Fan _Other_ CITY el No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— , 0 — LICENSE OR Exemption, you should become subject to the Workers' REG. NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. P OCES ED BV with comply with such provisions or this permit shall be deemed revoked. Size&Type HP, KW, KVA,or KVAR S9 Up to 1 Incl. v , FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 101ncl. DATE Over 10 to 50 Incl. Z VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. Services License Number L' Class 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for.the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits - - ness and Professions Code): Misc.Conduits& Conductors ® 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section ;2 1 4 9,3 A 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY # o e o 0 0 '2 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 2 0 - 2200 ' issued (Sec. 3097.Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) o'o o '2 2 00 5 Lender's Address PERMIT ISSUING FEE - 0 Q O'1'.—8 0 1 certify that 1 have read this application and state that the TOTAL FEE above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee v Date